How did we look after you?

A few questions about your visit to [clinic name], the consultation, the result and the care around it. What you write stays between you and the clinic, and goes straight to the team that looked after you. 

Under 2 minutes.

1. How satisfied are you with your visit?

2. What did you come in for?

Select one answer

  • Initial consultation
  • Non-surgical treatment
  • Surgical procedure
  • Follow-up visit

3. How did the consultation go?

Select one answer in each row

  • Poor
  • OK
  • Great

Options explained clearly

  • Poor
  • OK
  • Great

Honest about risks

  • Poor
  • OK
  • Great

Professional

  • Poor
  • OK
  • Great

Time for my questions

  • Poor
  • OK
  • Great

No pressure to decide

  • Poor
  • OK
  • Great

4. How were the nurses and reception staff?

Select one answer

  • Poor
  • Fair
  • Good
  • Very good
  • Excellent

5. How would you rate the clinic?

Select one answer in each row

  • Poor
  • OK
  • Great

Cleanliness

  • Poor
  • OK
  • Great

Waiting and recovery areas

  • Poor
  • OK
  • Great

Privacy and discretion

  • Poor
  • OK
  • Great

Parking and access

  • Poor
  • OK
  • Great

6. Did you know what to expect afterwards?

Select one answer

  • Yes, it was clear
  • Roughly
  • No, I was not sure what was normal
  • Nothing to recover from

7. How does the result compare with what you expected?

Select one answer

  • Much worse than I expected
  • A little worse
  • About what I expected
  • A little better
  • Much better than I expected
  • Too early to tell

8. Was it worth what you paid?

Select one answer

  • Great value
  • Good value
  • About right
  • A bit pricey
  • Way too expensive

9. How did you first hear about us?

Select one answer

  • Someone I know recommended you
  • Another doctor or clinic referred me
  • Search engine
  • Instagram or TikTok
  • Online reviews
  • An ad online or in print

10. How likely are you to recommend [clinic name]?

  • 0
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10

Not at all likely

Extremely likely

11. What would have made your visit better?

500

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Use template

Survey Templates Business Specific

Cosmetic Clinic Patient Satisfaction

Who it's for

Private clinics and aesthetic practices whose patients pay premium prices and expect to be treated accordingly.

Who answers

Your patient, a few days after the procedure. Eleven questions, in a register that suits a private matter.

Use template

What you'll see

  • Whether the result matched what the patient expected
  • Whether anyone ever felt pushed towards a decision
  • Which channel brought them to you

How to get good answers

  • Wait a few days. On the day of the procedure nobody can judge the result yet.
  • Promise discretion rather than anonymity. You know who your patients are and pretending otherwise reads as dishonest.
  • Never send it from the practitioner who did the procedure.
  • Read the expectation question next to the satisfaction score. A happy patient whose result missed their expectation will not come back for the second treatment.

All templates

Template categories

Trustpilot rating

Rated excellent on

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